Browsing by Author "Regan, Seann D."

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    Density and Proximity of Fast Food Restaurants and Body Mass Index Among African Americans
    (American Public Health Association, 2014) Reitzel, Lorraine R.; Regan, Seann D.; Nguyen, Nga; Cromley, Ellen K.; Strong, Larkin L.; Wetter, David W.; McNeill, Lorna H.
    Objectives. The purpose of this study was to address current gaps in the literature by examining the associations of fast food restaurant (FFR) density around the home and FFR proximity to the home, respectively, with body mass index (BMI) among a large sample of African American adults from Houston, Texas. Methods. We used generalized linear models with generalized estimating equations to examine associations of FFR density at 0.5-, 1-, 2-, and 5-mile road network buffers around the home with BMI and associations of the closest FFR to the home with BMI. All models were adjusted for a range of individual-level covariates and neighborhood socioeconomic status. We additionally investigated the moderating effects of household income on these relations. Data were collected from December 2008 to July 2009. Results. FFR density was not associated with BMI in the main analyses. However, FFR density at 0.5, 1, and 2 miles was positively associated with BMI among participants with lower incomes (P???.025). Closer FFR proximity was associated with higher BMI among all participants (P?
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    Discrimination, Affect, and Cancer Risk Factors among African Americans
    (PNG Publications, 2014) Cuevas, Adolfo G.; Reitzel, Lorraine R.; Adams, Claire E.; Cao, Yumei; Nguyen, Nga; Wetter, David W.; Watkins, Kellie L.; Regan, Seann D.; McNeill, Lorna H.
    Objectives: To examine whether stress or depressive symptoms mediated associations between perceived discrimination and multiple modifiable behavioral risk factors for cancer among 1363 African American adults. Methods: Nonparametric bootstrapping procedures, adjusted for sociodemographics, were used to assess mediation.ﾠResults: Stress and depressive symptoms each mediated associations between discrimination and current smoking, and discrimination and the total number of behavioral risk factors for cancer. Depressive symptoms also mediated the association between discrimination and overweight/obesity (p values < .05).Conclusions: Discrimination may influence certain behavioral risk factors for cancer through heightened levels of stress and depressive symptoms. Interventions to reduce cancer risk may need to address experiences of discrimination, as well as the stress and depression they engender.